Organization
VAN-INN II, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABATHA ANDREWS (ACCOUNTING)
(360) 696-4000
Entity
Organization
Contact information
Practice address
500 MAIN ST, VANCOUVER, WA 98660-3188
(360) 696-4000
(360) 906-1537
Mailing address
500 MAIN ST, VANCOUVER, WA 98660-3188
(360) 696-4000
(360) 906-1537
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1116842
—
WA
Enumeration date
07/12/2024
Last updated
07/16/2024
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